# KATMAI ONCOLOGY GROUP, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KATMAI ONCOLOGY GROUP, LLC
- **Other names:** Eagle River
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063150043
- **Legal business name:** KATMAI ONCOLOGY GROUP, LLC
- **Authorized official:** SHANNON SMILEY MD (PARTNER)
- **Authorized official phone:** (907) 562-0321

## Contact information

- **Practice address:** 12001 BUSINESS BLVD STE 3C, EAGLE RIVER, AK 99577-7743
- **Practice address phone:** (907) 562-0321
- **Practice address fax:** (907) 562-2683
- **Mailing address:** PO BOX 74900, CHICAGO, IL 60675-4900
- **Mailing address phone:** (602) 441-9520
- **Mailing address fax:** (602) 441-9524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2022
- **Last updated:** 12/24/2025